Provider Demographics
NPI:1679814644
Name:SIERRA NEVADA HEARING AID CENTER PAUL MANOUKIAN. & BRIAN ROMANESCH
Entity Type:Organization
Organization Name:SIERRA NEVADA HEARING AID CENTER PAUL MANOUKIAN. & BRIAN ROMANESCH
Other - Org Name:SIERRA NEVADA HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMANESCHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-882-3277
Mailing Address - Street 1:2874 N CARSON ST STE 225
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89706-1684
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2874 N CARSON ST STE 225
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-1684
Practice Address - Country:US
Practice Address - Phone:774-882-3277
Practice Address - Fax:775-882-3277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-15
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty